The DD Waiver covers many services, including:^[1]DD Waiver, January 1, 2018, Appendix C, pages 60-206. Note that some waiver services are only available to recipients age 21 and older. This is because the Medi-Cal State Plan (non-waiver Medi-Cal) … Continue reading

1. Case Management: Case management is provided through the Targeted Case Management benefit contained in California’s Medicaid State Plan.^[2]DD Waiver, January 1, 2018, Section C-1, page 196
2. Homemaker: Meal preparation and routine household care, when the person regularly responsible is temporarily absent or unable to manage the home and care for themselves or others in the home.
3. Home Health Aide Services: Through a home health agency.
4. Respite Care: Temporary non-medical care and supervision provided in or out of the home. Care for a consumer’s basic daily needs while their family is away for a short time, and to relieve family members from the constant care demands.
5. Habilitation: Services to help people gain, retain, and improve the self-help, socialization, and adaptive skills needed to live in home- and community-based settings.  Habilitation Services Include:
   • Behavioral Intervention Services: Includes intensive behavioral intervention programs, behavior tracking, and analysis. Provided in many settings like the consumer’s home or workplace. Also includes Crisis Support. 
   • Community Living Arrangement Services:
     • Licensed or Certified Settings, like group homes, including Enhanced Behavioral Supports Homes
     • Supported Living Services, which are social, adaptive skills, financial, and other supports for a consumer to live in a home they own or lease and which is not licensed.
   • Day Services
     • Community-Based Day Services: Habilitation for 4 or more hours per day, 1 or more days per week, in a non-residential setting.
     • Activity-Based/Therapeutic Day Services: Habilitation through physical and therapeutic activities designed to help with problematic behavior, express needs and feelings, enhance motor and communication development, increase socialization and community awareness, and provide experiences.
     • Mobility-Related Day Services: Teaching to use public transit or other transportation.
6. Pre-Vocational Services: Developing and teaching general skills that lead to competitive and integrated employment.
7. Supported Employment Services: Paid work that is integrated in the community. Includes 1:1 job coaching and other supported employment services that decrease until no longer needed, provided on or off the jobsite.
8. Dental Services: From licensed dentists and dental hygienists.
9. Occupational Therapy
10. Physical Therapy
11. Optometry/Optician Services
12. Prescription lenses and frames
13. Psychology Services: Assessment, treatment, prevention, and improving emotional and mental health disorders.
14. Speech, Hearing, and Language Services: Speech pathology, audiology services, and hearing aids.
15. Financial Management Services (FMS): Paying for goods and services or handling payroll for adult consumers’ or their families’ workers included in the IPP. FMS are available only for these self-directed services: respite, transportation, community-based training service and skilled nursing.
16. Chore Services: Services needed to maintain a clean, sanitary, and safe home. Includes heavy household chores and minor repairs like those done by a handyman.
17. Communication Aides: Human services needed to help people with a hearing, speech, or vision impairment to effectively communicate with service providers, family, friends, co-workers, and the general public. Includes facilitators, interpreters, and translators, depending on the IPP.
18. Community-Based Training Service: A participant-directed service that allows recipients to customize day services to meet their needs. As determined by the person-centered IPP process, the service may include help to:
    • Develop or keep employment and volunteer activities,
    • Pursue post-secondary education, and
    • Increase abilities to lead an integrated and inclusive life.
19. Environmental Accessibility Adaptations: Physical adaptations to the home. Ex. Ramps, grab-bars, widening of doorways, bathroom modifications, and installation of electric and plumbing systems needed for medical equipment and supplies. Adaptations which add to the total square footage of the home are excluded from this benefit. Adaptations may be provided up to 180 days before discharge from an institution.
20. Family Support Services: Regularly provided care and supervision of children, for periods of less than 24 hours per day, while the parent/primary non-paid caregiver is out of the home. Provided in or out of home. 
21. Family/Consumer Training: Training by licensed providers to get a better result from treatment. Includes support or counseling for the consumer and family to make sure they understand treatments provided and supports needed in the home to enhance treatments.
22. Housing Access Services: Includes two parts:
    • Individual Housing Transition Services – Includes finding out what housing the consumer wants, developing a plan, searching and applying for housing, identifying how to pay for moving costs, teaching how to deal with landlord, and planning for if/when housing is in jeopardy.
    • Individual Housing & Tenancy Sustaining Services – Services to keep housing once it is secured. Teaching on preventing problems, responsibilities, resolving disputes, and household management.
23. Non-Medical Transportation: Service offered to help people gain access to waiver and other community services, activities and resources, specified by the IPP. Private, specialized transportation will be provided to people who cannot safely access and use public transportation. People can also get medical transportation under federal law and the State Plan. 
24. Nutritional Consultation: Planning to meet nutritional and special dietary needs.
25. Personal Emergency Response Systems (PERS): Examples: pagers, medical alert bracelets, life-lines, and fire extinguishers.
26. Skilled Nursing: Services from a licensed nurse.
27. Specialized Medical Equipment and Supplies: Devices, controls, or appliances which help people increase their abilities to perform activities of daily living, or to perceive, control, or communicate with the environment. Also includes items needed for life support or to address physical conditions along with equipment needed for the proper functioning of those items, other durable and non-durable medical equipment, and necessary medical supplies.
28. Transition/Set-Up Expenses: One-time, non-recurring set-up expenses for health and safety needs when transitioning from an institution to your own home. Includes security deposits, moving expenses, one-time cleaning before moving in, furniture, household items, recreational wishes like TV and cable, and room and board payments. Items purchased are the property of the person receiving the service; they take the property with them if they move. Can get expenses up to 180 days before discharge from an institution.
29. Vehicle Modifications and Adaptations: Door handle replacements, door widening, lifting devices, wheelchair securing devices, adapted seat devices, adapted steering, acceleration, signaling, and braking devices, and handrails and grab bars.The repair, maintenance, installation, and training in the care and use, of these items are included. Does not include purchase of the vehicle itself. Vehicle must be owned by recipient or family member (defined broadly).
30. New Waiver Services:
    • Effective April 1, 2020, a Waiver amendment added State-operated Community Crisis Homes, Enhanced Behavioral Supports Homes, and Mobile Crisis Teams as new waiver services. See Chapter 8 for more about these services.
    • Effective January 19, 2021, a Waiver amendment added Intensive Transition Services (ITS) as a new service. ITS are for people who have complex behavioral health needs and have transitioned into a community living option. Staff are available 24 hours a day including weekends, holidays, and times of crisis. ITS includes anger management, health and dietary education, sex education/fostering healthy relationships, behavior training and management, therapy, co-occurring disorders integrated treatment, and transition planning.